The Arbour At Westminster Manor

Penalties

• Sep 25, 2024 — Fine ($29,085)

Inspection findings

1. Dec 3, 2025 Health · 4 findings
   • Not serious Scope/severity D

     F0641 Resident Assessment and Care Planning Deficiencies

     Ensure each resident receives an accurate assessment.

     Corrected Jan 15, 2026 · CMS health inspection

   • Not serious Scope/severity E

     F0812 Nutrition and Dietary Deficiencies

     Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

     Corrected Jan 15, 2026 · CMS health inspection

   • Not serious Scope/severity F

     K0324 Smoke Deficiencies

     Provide properly protected cooking facilities.

     Corrected Jan 15, 2026 · CMS fire safety

   • Not serious Scope/severity F

     K0345 Smoke Deficiencies

     Have approved installation, maintenance and testing program for fire alarm systems.

     Corrected Jan 15, 2026 · CMS fire safety

2. Sep 25, 2024 Health · 3 findings
   • Not serious Scope/severity D

     F0558 Resident Rights Deficiencies

     Reasonably accommodate the needs and preferences of each resident.

     Corrected Oct 23, 2024 · CMS health inspection

   • Serious Scope/severity J Complaint

     F0600 Freedom from Abuse, Neglect, and Exploitation Deficiencies

     Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

     Corrected Oct 23, 2024 · CMS health inspection

   • Not serious Scope/severity D

     F0656 Resident Assessment and Care Planning Deficiencies

     Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

     Corrected Oct 23, 2024 · CMS health inspection

3. Jul 21, 2023 Health · 7 findings
   • Not serious Scope/severity D

     F0636 Resident Assessment and Care Planning Deficiencies

     Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

     Corrected Sep 15, 2023 · CMS health inspection

   • Not serious Scope/severity D

     F0641 Resident Assessment and Care Planning Deficiencies

     Ensure each resident receives an accurate assessment.

     Corrected Sep 15, 2023 · CMS health inspection

   • Not serious Scope/severity E

     F0880 Infection Control Deficiencies

     Provide and implement an infection prevention and control program.

     Corrected Sep 15, 2023 · CMS health inspection

   • Not serious Scope/severity D

     K0345 Smoke Deficiencies

     Have approved installation, maintenance and testing program for fire alarm systems.

     Corrected Sep 2, 2023 · CMS fire safety

   • Not serious Scope/severity F

     K0761 Miscellaneous Deficiencies

     To conduct inspection, testing and maintenance of fire doors by qualified individuals.

     Corrected Sep 2, 2023 · CMS fire safety

   • Not serious Scope/severity D

     K0918 Gas, Vacuum, and Electrical Systems Deficiencies

     Have generator or other power source capable of supplying service within 10 seconds.

     Corrected Sep 2, 2023 · CMS fire safety

   • Not serious Scope/severity E

     K0923 Gas, Vacuum, and Electrical Systems Deficiencies

     Have proper medical gas storage and administration areas.

     Corrected Sep 2, 2023 · CMS fire safety

Owners and managers (as published by CMS)

• ALBRIGHT, ALEXANDRA — corporate director, NOT APPLICABLE, since 05/28/2020
• ASHLEY, OLIN — corporate director, NOT APPLICABLE, since 02/19/2015
• BORST, CHARLES — operational/managerial control, NOT APPLICABLE, since 05/25/2009
• BOYKIN, CUE — corporate director, NOT APPLICABLE, since 01/01/2026
• CRIPE, JULIE — corporate director, NOT APPLICABLE, since 01/01/2026
• DAY, MICHAEL — corporate director, NOT APPLICABLE, since 01/01/2024
• DINITTO, DIANA — corporate director, NOT APPLICABLE, since 07/01/2015
• HALEY, CASSIE — operational/managerial control, NOT APPLICABLE, since 07/22/2019
• HALEY, CASSIE — adp of the snf, NOT APPLICABLE, since 04/10/2025
• HILGERS, PAUL — corporate director, NOT APPLICABLE, since 01/16/2014
• KROL, MICHAEL — adp of the snf, NOT APPLICABLE, since 04/07/2025
• KROL, MICHAEL — operational/managerial control, NOT APPLICABLE, since 03/20/2023
• LOYD, SARAH — operational/managerial control, NOT APPLICABLE, since 10/24/2006
• LUEVANO, RICHARD — corporate director, NOT APPLICABLE, since 05/28/2020
• MCEWAN, CHARLES — corporate director, NOT APPLICABLE, since 01/01/2026
• MCGHEE, JOHN — corporate director, NOT APPLICABLE, since 01/01/2025
• MILLER, ANNA — corporate director, NOT APPLICABLE, since 01/01/2022
• REDDING, DAVID — corporate officer, NOT APPLICABLE, since 12/01/2023
• REDDING, DAVID — corporate director, NOT APPLICABLE, since 01/01/2017
• SCURLOCK, STEPHEN — corporate director, NOT APPLICABLE, since 04/30/2020
• SHERMAN, LYNN — corporate director, NOT APPLICABLE, since 01/01/2026
• WILLIAMS, DIANE — corporate director, NOT APPLICABLE, since 01/01/2019
• WILLIAMS, DIANE — corporate officer, NOT APPLICABLE, since 01/01/2025
• WOODRICK, JAMES — corporate director, NOT APPLICABLE, since 01/01/2022
• WOODWORTH, JAMES — corporate director, NOT APPLICABLE, since 01/16/2014
• LIFE CARE SERVICES LLC — adp of the snf, NOT APPLICABLE, since 07/03/2025
• LIFE CARE SERVICES LLC — operational/managerial control, NOT APPLICABLE, since 10/01/1980
• WESTMINSTER MANOR — 5% or greater direct ownership interest, 100%, since 09/06/1973